| NPI | 1629326210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP# 3364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#P8582) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-11-04 |